Stine, Jeffry Wayne

Stine, Jeffry Wayne is an sole proprietor health care provider with primary practice located at 900 Skokie Blvd Ste 115 , Northbrook IL 60062. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stine, Jeffry Wayne can be contacted via phone (224) 388-3633.

Contact Information

Primary practice address
900 Skokie Blvd Ste 115 Northbrook IL 60062
Phone: (224) 388-3633
Fax: (847) 929-4513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071008039 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008039 Illinois

Profile Details

NPI number 1083912034
LBN Legal business name Stine, Jeffry Wayne
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2011
Last updated Jun 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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